Christine Herde, MD, FACOG
|
|
- Lesley Parrish
- 5 years ago
- Views:
Transcription
1 Christine Herde, MD, FACOG Vice Chair, Department of OB/GYN CareMount Medical, Mount Kisco, NY Assistant Director of OB/GYN, Mount Sinai Health System at CareMount Medical 1. OSE presumption that Ovarian Cancer arised from the ovary or even the ovarian surface epithelium (OSE) 2. Prophylactic Oophorectomy became a treatment option for High Risk Patients. 3. This theory was challenged by: the absence of a clearly defined precursor lesion in the ovary or OSE and the recognition of Primary Peritoneal Cancer predominantly in high risk patients with a history of oophorectomy. Greene M, Mai P, Cancer Prev Res. 2015; 8 (5)
2 4. RRSO Prophylactic Oophorectomy to Risk- Reducing Salpingo-oophorectomy- 1994/1995- BRCA1/BRCA2- tubal malignancy was included in the group of malignancies. The beginning of The suggestion for a cure. 5. BSOR Bilateral Salpingectomy with Ovarian Retention maintain ovarian function in patients not yet ready, decrease long term risks of premature menopause. Greene M, Mai P, Cancer Prev Res. 2015; 8(5) Minimal additional Surgical Time 2. No excess re-hospitalization 3. No excess blood transfusion 4. Increase in the proportion of hysterectomies being performed laparoscopically. 5. Cost benefit analysis cost effective 6. Estimated decrease in ovarian CA risk by 38% if done with hysterectomy. 7. Estimated decrease in ovarian CA risk by 29% if done in place of tubal ligation. Kwon JS, McAlpine JN, Hanley GE, et al. Obstet Gynecol. 2015; 125:
3 Debated in the literature however; Rates of BS increased among women undergoing hysterectomy as well as those undergoing interval tubal ligation Randomized controlled trials are needed to support the validity of this approach to reduce the incidence of ovarian cancer. The approach to hysterectomy or sterilization should not be influenced by the theoretical benefit of salpingectomy Focuses on hysterectomy and laparoscopic sterilization procedures 3
4 Should we consider salpingectomy at the time of Cesarean Section or postpartum tubal ligation. The Gravid Uterus Changes in Vasculature -The diameter of the main uterine artery doubles in size. -Change in the uterine vascular resistance. -Smaller arcuate and radial arteries remodel in a similar pattern with enlargements in lumenal caliber from 25 to 220%. -Smaller arcuate and radial arteries have either no change or an increase in wall thickness. -Veins also enlarge substantially Palmer SK, Zamudio S, Coffin C, Parker S, Stamm E, Moore LG. Quantitative estimation of human uterine artery blood flow and pelvic blood flow redistribution in pregnancy. Obstet Gynecol 80: ,
5 Parkland Method Pomeroy Method Irving Method Uchida Method 5
6 Complete vs. Partial Salpingectomy Partial Salpingectomy: Removal of the distal 1/3: Fimbria Infundibulum Portion of Ampulla US Birth Rates and Population Growth Estimates 4 Million Births in the US 8 to 9% of all US Live Births will result in Postpartum Tubal Sterilization Anticipated to be more than 50% of all sterilizations Estimated Tubal Ligation C/S and postpartum: 320,000 annually. 6
7 Permanent sterilization with likely decrease in failure rate Decrease risk of ectopic pregnancy if failure Decrease in post ablation tubal sterilization syndrome Primary prevention of epithelial carcinoma of the fallopian tube, ovary or peritoneum. Permanent No option for reversal No study has compared the contraceptive efficacy or risk of complications with complete or partial salpingectomy for PP sterilization Blood loss/hemorrhage Cautery complication 7
8 Legal and Ethical Responsibility to provide adequate information Bring the patient into the Medical Decision Making Process Must disclose Material Facts relevant to the decision making process Must answer truthfully Documentation is Key Berg JW, Appelbaum PS, Lidz CW, et al. Oxford University Press, New York No data regarding long term impact. At least 10 years to see if it creates a definite decrease risk in Cancer. 8
9 What is new? Where are we going? Three to five years later: longterm effects of prophylactic bilateral salpingectomy on ovarian function Preliminary Data on PBS (Prophylactic Bilateral Salpingectomy) Observational Study for Premature Surgical Menopause 79 patient from 9/2010 9/ /79 patients with follow up Venturella R, Lico D, Borelli M, Imbrogno MG, Cevenini G, Zupi E, Zullo F, Morelli M, Three to five years later: long-term effects of prophylactic bilateral salpingectomy on ovarian function, The Journal of Minimally Invasive Gynecology (2016), doi: /j.jmig
10 The addition of PBS to TLH in the late reproductive years does not modify the ovarian age of treated women up to 3 to 5 years after surgery 10
11 -Paul Kalanithi, MD 11
Both type I and type II tumors develop from extraovarian tissue that implants on the ovary. Both for LGSC and HGSC, the fallopian tube appears to be
Recent studies have led to the development of a new paradigm for the pathogenesis and origin of EOC, based on a dualistic model of carcinogenesis that divides EOC into 2 broad categories designated types
More informationInherited Ovarian Cancer Diagnosis and Prevention
Inherited Ovarian Cancer Diagnosis and Prevention Dr. Jacob Korach - Deputy director Gynecologic Oncology (past chair - Israeli Society of Gynecologic Oncology) Prof. Eitan Friedman - Head, Oncogenetics
More informationSalpingectomy for Sterilization
Salpingectomy for Sterilization Change in Practice in a Large Integrated Health Care System 2011-2016 Journal Club November 15, 2017 Blaine Campbell, DO Salpingectomy for Sterilization: Change in Practice
More informationHistopathological Spectrum of Lesions in Fallopian Tube
IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 16, Issue 1 Ver. III (January. 2017), PP 75-80 www.iosrjournals.org Histopathological Spectrum of Lesions
More informationGynecologic Cancers are many diseases. Gynecologic Cancers in the Age of Precision Medicine Advances in Internal Medicine. Speaker Disclosure:
Gynecologic Cancer Care in the Age of Precision Medicine Gynecologic Cancers in the Age of Precision Medicine Advances in Internal Medicine Lee-may Chen, MD Department of Obstetrics, Gynecology & Reproductive
More informationGynecologic Cancers are many diseases. Speaker Disclosure: Gynecologic Cancer Care in the Age of Precision Medicine. Controversies in Women s Health
Gynecologic Cancer Care in the Age of Precision Medicine Gynecologic Cancers in the Age of Precision Medicine Controversies in Women s Health Lee-may Chen, MD Department of Obstetrics, Gynecology & Reproductive
More information6 Week Course Agenda. Today s Agenda. Ovarian Cancer: Risk Factors. Winning the War 11/30/2016 on Women s Cancer Gynecologic Cancer Prevention
6 Week Course Agenda Winning the War 11/30/2016 on Women s Cancer Gynecologic Cancer Prevention Lee-may Chen, MD Director, Division of Gynecologic Oncology Professor Department of Obstetrics, Gynecology
More informationKey Recommendations. Gynecologic management of women with inherited risk of gynecologic cancer. HBOC related genes. I have nothing to disclose
Gynecologic management of women with inherited risk of gynecologic cancer C. Bethan Powell MD Kaiser Permanente Northern California Gynecologic Oncology Program I have nothing to disclose Key Recommendations
More informationKey Recommendations. Gynecologic management of women with inherited risk of gynecologic cancer
Gynecologic management of women with inherited risk of gynecologic cancer C. Bethan Powell MD Kaiser Permanente Northern California Gynecologic Oncology Program Lead, Kaiser Permanente Northern California
More informationOVARIAN CANCER Updates in Screening, Early Detection and Prevention
UW MEDICINE SUSAN PATRICIA TECK MEMORIAL LECTURE October 2017 OVARIAN CANCER Updates in Screening, Early Detection and Prevention BARBARA GOFF, MD Seattle Gynecologic Society March 2018 OVARIAN CANCER
More informationFemale Sterilization. Kavita Nanda, MD, MHS FHI 360 Expanding Contraceptive Choice December 6, 2018
Female Sterilization Kavita Nanda, MD, MHS FHI 360 Expanding Contraceptive Choice December 6, 2018 What is female sterilization? Family planning method that provides permanent contraception to women and
More informationOvarian Cancer Causes, Risk Factors, and Prevention
Ovarian Cancer Causes, Risk Factors, and Prevention Risk Factors A risk factor is anything that affects your chance of getting a disease such as cancer. Learn more about the risk factors for ovarian cancer.
More informationEpithelial Ovarian Cancer 8/2/2013. Tu-be or Not Tu-be: Is the Fallopian Tube the Source of Ovarian Cancer?
Tu-be or Not Tu-be: Is the Fallopian Tube the Source of Ovarian Cancer? Ann E. Smith Sehdev, MD Director, Center for Gynecologic Pathology Cascade Pathology, Portland, Oregon Ann E. Smith Sehdev has no
More informationWhat is the gynecologist s role in the care of BRCA previvors?
What is the gynecologist s role in the care of BRCA previvors? Here, your patient s options for surgery and your best options for her follow-up care and ongoing surveillance OBG Manag. Sept 2013;25(9):10-14.
More informationCurrent Concept in Ovarian Carcinoma: Pathology Perspectives
Current Concept in Ovarian Carcinoma: Pathology Perspectives Rouba Ali-Fehmi, MD Professor of Pathology The Karmanos Cancer Institute, Wayne State University School of Medicine Current Concept in Ovarian
More informationInherited Breast and Ovarian Cancer: 20 Years of Progress and Future Directions
Inherited Breast and Ovarian Cancer: 20 Years of Progress and Future Directions Noah D. Kauff, MD, FACOG Director, Clinical Cancer Genetics Duke Cancer Institute / Duke University Health System Disclosures
More informationTumori eredofamiliari: sorveglianza di donne ad alto rischio
Tumori eredofamiliari: sorveglianza di donne ad alto rischio 14/01/2018 Dott Matteo Generali AUSL Modena Carpi U.O. Ostetricia e Ginecologia Screening for gynaecologic cancer in genetically predisposed
More informationHistopathological Study of Spectrum of Lesions Seen in Surgically Resected Specimens of Fallopian Tube
Original Article Print ISSN: 2321-6379 Online ISSN: 2321-595X DOI: 10.17354/ijss/2016/613 Histopathological Study of Spectrum of Lesions Seen in Surgically Resected Specimens of Fallopian Tube Pratima
More informationDisclosure. Objectives
Charles A. Leath, III, MD, MSPH Associate Professor University of Alabama at Birmingham Disclosure I have no potential financial or other conflicts of interest. The view(s) expressed herein are those of
More informationX-Plain Ovarian Cancer Reference Summary
X-Plain Ovarian Cancer Reference Summary Introduction Ovarian cancer is fairly rare. Ovarian cancer usually occurs in women who are over 50 years old and it may sometimes be hereditary. This reference
More informationOpportunistic Risk Reduction Salpingectomy and Ovarian Cancer
Opportunistic Risk Reduction Salpingectomy and Ovarian Cancer G. Kevin Donovan, MD, MA Kevin FitzGerald, SJ, Ph.D., Ph.D. Daniel Sulmasy, MD, Ph.D. Ovarian cancer has the highest mortality rate of all
More informationSurgery to Reduce the Risk of Ovarian Cancer. Information for Women at Increased Risk
Surgery to Reduce the Risk of Ovarian Cancer Information for Women at Increased Risk Centre for Genetics Education NSW Health 2017 The Centre for Genetics Education NSW Health Level 5 2C Herbert St St
More informationIvyspring International Publisher. Introduction. Journal of Cancer 2018, Vol. 9. Abstract
141 Ivyspring International Publisher Research Paper Journal of Cancer 2018; 9(1): 141-147. doi: 10.7150/jca.21187 Opportunistic salpingectomy at benign gynecological surgery for reducing ovarian cancer
More informationMPH Quiz. 1. How many primaries are present based on this pathology report? 2. What rule is this based on?
MPH Quiz Case 1 Surgical Pathology from hysterectomy performed July 11, 2007 Final Diagnosis: Uterus, resection: Endometrioid adenocarcinoma, Grade 1 involving most of endometrium, myometrial invasion
More informationLong-Term Health Outcomes of Surgical Menopause
Long-Term Health Outcomes of Surgical Menopause Vanessa Jacoby, MD, MAS Associate Professor Obstetrics, Gynecology, and Reproductive Sciences University of California, San Francisco None Disclosures Overview
More informationInstitute of Pathology First Faculty of Medicine Charles University. Ovary
Ovary Barrett esophagus ph in vagina between 3.8 and 4.5 ph of stomach varies from 1-2 (hydrochloric acid) up to 4-5 BE probably results from upward migration of columnar cells from gastroesophageal junction
More informationSURGICAL PROCEDURES OPERATIONS ON THE FEMALE GENITAL SYSTEM
In composite operations such as repair of cystocoele and rectocoele and D & C, or cystocoele and rectocoele and cauterization of cervix and biopsy, the fee shall, unless otherwise mentioned below, be that
More informationContents Introduction. Recommendations at a Glance. Introduction. Background. Clinical Recommendations
Salpingectomy for Ovarian Cancer Prevention May 2013 Contents Introduction Indications for Salpingectomy Technique Pathology Processing References, Authors, Appendix, Acknowledgements, and Disclaimer Recommendations
More informationSurgery to reduce the risk of ovarian cancer
Surgery to reduce the risk of ovarian cancer INFORMATION FOR PATIENTS This leaflet is designed to answer questions you may have about surgery to reduce your risk of ovarian cancer. You may be considering
More informationOophorectomy or salpingectomy which makes more sense?
Oophorectomy or salpingectomy which makes more sense? During hysterectomy for benign indications, many surgeons routinely remove the ovaries to prevent cancer. Here s what we know about this practice.
More informationEndosalpingiosis. Case report
Case report Endosalpingiosis Michael D. Holmes, M.D. Howard S. Levin M.D. Department of Pathology Lester A. Ballard, Jr., M.D. Department of Gynecology Endosalpingiosis, a term referring to tuballike epithelium
More informationCase 1. Pathology of gynecological cancer. What do we need to know (Case 1) Luca Mazzucchelli Istituto cantonale di patologia Locarno
Case 1 Pathology of gynecological cancer. What do we need to know (Case 1) Luca Mazzucchelli Istituto cantonale di patologia Locarno SAMO Interdisciplinary Workshop on Gynecological Tumors Lucern, October
More informationCHAPTER 13 Gynaecological Procedures
CHAPTER 13 Propunere noua clasificare proceduri folosind codificarea ICD-10-AM versiunea 3, 30 martie 2004 Gynaecological Procedures BLOCK 1240 Application, insertion or removal procedures on ovary 35518-00
More informationHysterectomy Fact versus fiction. Richard Dover Specialist Gynaecologist
Hysterectomy Fact versus fiction Richard Dover Specialist Gynaecologist Disclaimer Disclaimer Hysterectomy An update? Myths busted? HYSTERECTOMY Retro-chic! HMB Important cause of morbidity Affects
More informationAccording to the most recent data (2011
CONTRACEPTION Adopting the opportunistic salpingectomy philosophy for benign hysterectomies has been fairly easy for ObGyns, but what about for permanent? Is it time to advocate for this global practice?
More informationUniversity Gynecologic Oncology Associates
University Gynecologic Oncology Associates Medical History Form Date: Name: Date of Birth: / / GYNE HISTORY Age of first period? If you no longer have periods, at what age did they stop? Are you pregnant
More informationHysterectomy. What is a hysterectomy? Why is hysterectomy done? Are there alternatives to hysterectomy?
301.681.3400 OBGYNCWC.COM What is a hysterectomy? Hysterectomy Hysterectomy is surgery to remove the uterus. It is a very common type of surgery for women in the United States. Removing your uterus means
More informationInterpretation of p53 Immunostains. P53 Mutations are Ubiquitous in High Grade Serous Carcinoma. Diffuse strong positive nuclear staining
Stains for Tumor Classification p53 p16 WT1 HMGA2 P53 Mutations are Ubiquitous in High Grade Serous Carcinoma Source Ahmed et al Australian Ovarian Cancer Study Cancer Genome Atlas Research Network Cases
More informationSALPINGITIS IN OVARIAN ENDOMETRIOSIS
FERTILITY AND STERILITY Copyright 1978 The American Fertility Society Vol. 30, No. 1, July 1978 Printed in U.S.A. SALPINGITIS IN OVARIAN ENDOMETRIOSIS BERNARD CZERNOBILSKY, M.D.*t ALAN SILVERSTEIN, M.D.
More informationPermanent Sterilization: When you are really sure!
Permanent Sterilization: When you are really sure! Tony Ogburn MD Department of Ob/Gyn 2006-8 National Survey of Family Growth 6.1% of women had a sterilized male partner The History of Female Sterilization
More informationDisclosures/Conflict of Interest. Learning Objectives 10/2/2015. Opportunistic salpingectomy for ovarian cancer prevention Jessica N McAlpine, UBC
Opportunistic salpingectomy for ovarian cancer prevention Jessica N McAlpine, UBC Disclosures/Conflict of Interest No conflicts of interest to declare No discussion re off label use and/or investigational
More informationScreening and prevention of ovarian cancer
Chapter 2 Screening and prevention of ovarian cancer Prevention of ovarian carcinoma Oral contraceptive pills Use of oral contraceptive pills (OCPs) has been associated with a significant reduction in
More informationLabeling for Permanent Hysteroscopically-Placed Tubal Implants Intended for Sterilization
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Labeling for Permanent Hysteroscopically-Placed Tubal Implants Intended for Sterilization Draft Guidance for Industry and Food and Drug
More informationBRCA mutation carrier patient: How to manage?
BRCA mutation carrier patient: How to manage? Clinical Case Presentation Katarzyna Sosińska-Mielcarek Department of Oncology and Radiotherapy University Clinical Center Gdansk, Poland esmo.org DISCLOSURE
More informationManagement of BRCA mutation carriers
Management of BRCA mutation carriers Clinical Case Presentation Shani Paluch-Shimon, MBBS, MSc Head, Breast Cancer Service for Young Women Oncology Institute Sheba Medical Center, Israel esmo.org DISCLOSURES
More informationFast Facts: Ovarian Cancer
Fast Facts Fast Facts: Ovarian Cancer Christina Fotopoulou MD PhD Consultant Gynaecological Oncologist Queen Charlotte s and Chelsea Hospital London, UK Thomas J Herzog MD Professor of Obstetrics and Gynecology
More informationSerous Tubal Intraepithelial Carcinoma in a Japanese Woman with a Deleterious BRCA1 Mutation
Japanese Journal of Clinical Oncology Advance Access published April 9, 2014 Jpn J Clin Oncol 2014 doi:10.1093/jjco/hyu035 Case Report Serous Tubal Intraepithelial Carcinoma in a Japanese Woman with a
More informationWhat You Need to Know About Ovarian Cancer
What You Need to Know About Ovarian Cancer About Us The Rhode Island Ovarian Cancer Alliance (RIOCA) was formed in honor and memory of Jessica Morris. Jessica was diagnosed with Stage IIIC Ovarian Cancer
More informationPelvic Congestion Syndrome Diagnosis and Treatment Hadjipolycarpou Andreas Vascular Surgery Clinic, Nicosia General Hospital Director Dr Ch.
Pelvic Congestion Syndrome Diagnosis and Treatment Hadjipolycarpou Andreas Vascular Surgery Clinic, Nicosia General Hospital Director Dr Ch. Bekos Vascular Surgical Society of Cyprus @ LIVE Patra, 2018
More information--- or not, and do we need to come up with newer strategies for ovarian cancer screening.
My name is Dr. Karen Lu and I am a Professor of Gynecologic Oncology at the University of Texas MD Anderson Cancer Center. I also serve as Co-Medical Director for Clinical Cancer Genetics. I m going to
More informationInvited Commentary Ovarian cancer of tubal origin, incessant ovulation and implications for clinical practice
Am J Clin Exp Obstet Gynecol 2015;2(3):130-135 www.ajceog.us /ISSN:2330-1899/AJCEOG0010914 Invited Commentary Ovarian cancer of tubal origin, incessant ovulation and implications for clinical practice
More informationUnexpected Gynecologic Findings at Laparotomy. Susan A. Davidson, MD University of Colorado, Denver School of Medicine
Unexpected Gynecologic Findings at Laparotomy Susan A. Davidson, MD University of Colorado, Denver School of Medicine Adnexal Mass: Gyn Etiologies Uterine Leiomyomas Pregnancy Malignancy Tubal Pregnancy
More informationThe Value of Hysterosalpingography Before Reversal of Sterilization Procedures Involving the Fallopian Tubes
1247 0361-803X/89/1 536-1 247 C American Aoentgen Ray SOCiety Stephen Karasick1 Saundra Ehrlich Received May 30, 1989; accepted after revision July 13, 1989 I Both authors: Department of Radiology, Thomas
More informationOvarian, Peritoneal, and Fallopian Tube Epithelial Cancer (OPT)
Ovarian, Peritoneal, and Fallopian Tube Epithelial Cancer (OPT) ACOG District II 2 Learning Objectives At the end of this clinical presentation, obstetrician gynecologists and other women s health care
More informationBiology Response Controversies and Advances
Biology Response Controversies and Advances in BRCA related ovarian cancer Lessons learned and future directions Michael Friedlander The Prince of Wales Hospital and Royal Hospital for Women Sydney BREAST-CANCER
More informationIs It Time To Implement Ovarian Cancer Screening?
Is It Time To Implement Ovarian Cancer Screening? Prof Dr Samet Topuz Istanbul Medıcal Faculty Department Of Obstetrics and Gynecology ESGO Prevention in Gynaecological Malignancies September 08 2016 Antalya
More informationResults of microsurgical reconstruction in patients with combined proximal and distal tubal occlusion: double obstruction
FERTILITY AND STERILITY Copyright 987 The American Fertility Society Printed in U.S.A. Results of microsurgical reconstruction in patients with combined proximal and distal tubal occlusion: double obstruction
More informationSCREENING FOR OVARIAN CANCER DR MACİT ARVAS
SCREENING FOR OVARIAN CANCER DR MACİT ARVAS Ovarian cancer is the leading cause of death from gynecologic malignancy In 2008, ovarian cancer was the seventh common cancer in women worldwide There were
More informationLog Title: OBRES Gynecologic Case Log
Log Title: OBRES Gynecologic Case Log Hospital/Institution: (Lookup) Attending Physician (Lookup) Is Patient Pregnant? ( Y or N) MEDRECNO: (text) Date (encounter) (Date) Diagnosis DX GYN Acute Pelvic Pain
More informationNATIONAL CLINICAL GUIDELINE INVESTIGATION AND MANAGEMENT OVARIAN CYSTS IN POSTMENOPAUSAL WOMEN
NATIONAL CLINICAL GUIDELINE INVESTIGATION AND MANAGEMENT OF OVARIAN CYSTS IN POSTMENOPAUSAL WOMEN Institute of Obstetricians and Gynaecologists, Royal College of Physicians of Ireland and the Clinical
More informationPublic perception of risk-reducing salpingectomy for preventing ovarian cancer
Original Article Obstet Gynecol Sci 2015;58(4):284-288 http://dx.doi.org/10.5468/ogs.2015.58.4.284 pissn 2287-8572 eissn 2287-8580 Public perception of risk-reducing salpingectomy for preventing ovarian
More informationTUBAL PLASTIC SURGERY is an accepted form of therapy in the treatment
Tubal Plastic Surgery ADNAN MROUEH, M.D., ROBERT H. GLASS, M.D., and C. LEE BUXTON, M.D. TUBAL PLASTIC SURGERY is an accepted form of therapy in the treatment of infertility. However, reports have differed
More information2018 Hysterectomy Reimbursement Fact Sheet
2018 Hysterectomy Reimbursement Fact Sheet The information contained in this document is provided for informational purposes only and represents no statement, promise, or guarantee by Ethicon concerning
More informationRole of peritoneal washing cytology in ovarian malignancies: correlation with histopathological parameters
Naz et al. World Journal of Surgical Oncology (2015) 13:315 DOI 10.1186/s12957-015-0732-1 WORLD JOURNAL OF SURGICAL ONCOLOGY RESEARCH Open Access Role of peritoneal washing in ovarian malignancies: correlation
More informationDefinition Endometriosis is the presence of functioning endometrial tissue outside the cavity of the uterus.
Dept. of Obstetrics t and Gynecology Faculty of Medicine University of Sumatera Utara Endometriosis Definition Endometriosis is the presence of functioning endometrial tissue outside the cavity of the
More informationPlease complete prior to the webinar. HOSPITAL REGISTRY WEBINAR FEMALE REPRODUCTIVE SYSTEM EXERCISES CASE 1: FEMALE REPRODUCTIVE
Please complete prior to the webinar. HOSPITAL REGISTRY WEBINAR FEMALE REPRODUCTIVE SYSTEM EXERCISES PHYSICAL EXAMINATION CASE 1: FEMALE REPRODUCTIVE 3/5 Patient presents through the emergency room with
More informationBSO, HRT, and ERT. No relevant financial disclosures
BSO, HRT, and ERT Jubilee Brown, MD Professor & Associate Director, Gynecologic Oncology Levine Cancer Institute at the Carolinas HealthCare System Charlotte, North Carolina No relevant financial disclosures
More informationFertility Following Myomectomy
Fertility Following Myomectomy FRANCIS M. INGERSOLL, M.D. MYOMECTOMY is an operation frequently indicated in both the maitied and the single woman who desires to preserve her child-bearing function. The
More informationClinical Policy: Essure Removal Reference Number: CP.MP.131
Clinical Policy: Reference Number: CP.MP.131 Effective Date: 11/16 Last Review Date: 11/17 Coding Implications Revision Log See Important Reminder at the end of this policy for important regulatory and
More informationEffects of salpingectomy during abdominal hysterectomy on ovarian reserve: a randomized controlled trial
Tehranian et al. Gynecological Surgery (2017) 14:17 DOI 10.1186/s10397-017-1019-z Gynecological Surgery ORIGINAL ARTICLE Open Access Effects of salpingectomy during abdominal hysterectomy on ovarian reserve:
More informationPRETREATMENT ASSESSMENT & MANAGEMENT (MODULE 1 B) March, 2018
PRETREATMENT ASSESSMENT & MANAGEMENT (MODULE 1 B) March, 2018 Clinical Assessment A thorough clinical evaluation is a prerequisite for ART A thorough clinical evaluation as detailed in the female and male
More informationUTERINE SARCOMA EXAMPLE OF A UTERINE SARCOMA USING PROPOSED TEMPLATE
UTERINE SARCOMA EXAMPLE OF A UTERINE SARCOMA USING PROPOSED TEMPLATE Case: Adenosarcoma with heterologous elements and stromal overgrowth o TAH, BSO, omentectomy, staging biopsies of cul-de-sac, bladder
More informationWISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES Wisconsin Department of Safety and Professional Services Access to the Public Records of the Reports of Decisions This Reports of Decisions document
More informationLaparoscopic Salpingectomy for Ectopic Pregnancy Simulation
Preparation Simulators to be used 1. Laparoscopic box trainers will be used 2. Laparoscopic Maryland graspers, laparoscopic endoshears and a locking grasper will be available for each participant 3. Premade
More informationFRANZCOG Training Program Logbook Procedure List and Classification
FRANZCOG Training Program Logbook Procedure List and Classification This logbook procedure list provides sites and trainees with the major/minor classification of procedures in the online logbook. As detailed
More informationClinics in diagnostic imaging (110)
M e d i c a l E d u c a t i o n Singapore Med Med J 2006; J 2006; 47(7) 47(7) : 642 : 1 Clinics in diagnostic imaging (110) Lim S Y, Lam S L Fig. 1 Radiograph of the pelvis. Fig. 2 Sagittal and coronal
More informationSchedule of Benefits. for Professional Fees Gynaecology
Schedule of Benefits for Professional Fees 2018 Gynaecology CERVIX 2140 Cervix, amputation of (I.P.) 2145 Cervix, biopsy of (I.P.) 2146 Cervix, cone biopsy of (I.P.) 2150 Cervical polypi, removal of (I.P.)
More informationPartners: Introductions: Dr. Carolyn Johnston Deanna Cosens & Ann Garvin. Ovarian Cancer and Primary Care July 16, :00 9:00am EST 7/16/2014
Welcome To The Webinar Technical Support Ovarian Cancer and Primary Care July 16, 2014 8:00 9:00am EST In order to hear the presentation please call 1 (626) 544-0058, access code 167-314-644, followed
More informationCLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 2/12/2011 Radiology Quiz of the Week # 7 Page 1 CLINICAL PRESENTATION AND RADIOLOGY QUIZ
More informationManaging the adnexae at the time of hysterectomy for benign gynaecological disease
Managing the adnexae at the time of hysterectomy for benign gynaecological disease This statement has been developed and reviewed by the Women s Health Committee and approved by the RANZCOG Board and Council.
More informationChristine Garcia, MD 1, Liisa Lyon, MS 2, Ramey D. Littell, MD 1 and C. Bethan Powell, MD 1
American College of Medical Genetics and Genomics Comparison of risk management strategies between women positive for a BRCA variant of unknown significance and women with known BRCA deleterious mutations
More informationPrognostic factors of fimbrial microsurgery
FERTILITY AND STERILITY Copyright. 1986 The American Fertility Society Printed in U.SA. Prognostic factors of fimbrial microsurgery Jacques Donnez, M.D., Ph.D.* Fran.;oise Casanas-Roux, B.S. Physiology
More informationGynecologic. Indiana Regional Medical Center Procedures to Labs/Tests June 1, A/P REPAIR W/SACROSP COLPOPEXY Table 1
Indiana Regional Medical Center Procedures to Labs/Tests June 1, 2011 Gynecologic A/P REPAIR W/SACROSP COLPOPEXY Table 1 ABD SUPRACERVICAL HYSTERECTOMY Table 1 ANTERIOR POSTERIOR REPAIR Table 1 ANTERIOR
More informationClear cell carcinoma arising from abdominal wall endometriosis: a unique case with bladder and lymph node metastasis
Liu et al. World Journal of Surgical Oncology 2014, 12:51 WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Open Access Clear cell carcinoma arising from abdominal wall endometriosis: a unique case with bladder
More informationACUTE PELVIC PAIN 강릉아산병원영상의학과 이은혜
ACUTE PELVIC PAIN 강릉아산병원영상의학과 이은혜 Gynecologic PID Ruptured ovarian cyst Adnexal torsion Acute pelvic pain Pregnancy-related Ectopic pregnancy Placental abruption Nongynecologic Acute appendicitis Diverticulitis
More informationProgram Schedule. 3 rd Annual Collaborative Symposium: Update in Minimally Invasive Gynecologic Surgery
Program Schedule 3 rd Annual Collaborative Symposium: Update in Minimally Invasive Gynecologic Surgery Thursday, February 5, 2015 6:45 a.m. Registration and Breakfast 7:25 a.m. Welcome / Announcements
More informationA Practical Approach to Adnexal Masses
A Practical Approach to Adnexal Masses Darcy J. Wolfman, MD Section Chief of Genitourinary Imaging American Institute for Radiologic Pathology Clinical Associate Johns Hopkins Community Radiology Division
More informationEssure By Mayo Clinic staff
Page 1 of 5 Reprints A single copy of this article may be reprinted for personal, noncommercial use only. Essure By Mayo Clinic staff Original Article: http://www.mayoclinic.com/health/essure/my00999 Definition
More informationPolicy #: 259 Latest Review Date: November 2009
Name of Policy: Prophylactic Oophorectomy Policy #: 259 Latest Review Date: November 2009 Category: Surgery Policy Grade: Active Policy but no longer scheduled for regular literature reviews and updates.
More informationGYNECOLOGIC MALIGNANCIES: Ovarian Cancer
GYNECOLOGIC MALIGNANCIES: Ovarian Cancer KRISTEN STARBUCK, MD ROSWELL PARK CANCER INSTITUTE DEPARTMENT OF SURGERY DIVISION OF GYNECOLOGIC ONCOLOGY APRIL 19 TH, 2018 Objectives Basic Cancer Statistics Discuss
More informationThe AAGL Classification System for Laparoscopic Hysterectomy
February 2000, Vol. 7, No. 1 The Journal of the American Association of Gynecologic Laparoscopists The AAGL Classification System for Laparoscopic Hysterectomy All portions in quotation marks are taken
More informationThe Origin of Pelvic Low-Grade Serous Proliferative Lesions
The Origin of Pelvic Low-Grade Serous Proliferative Lesions Ovarian Atypical Proliferative (Borderline) Serous Tumors, Noninvasive Implants and Endosalpingiosis Robert J. Kurman, M.D. Kurman RJ, Vang R,
More informationFemale Reproductive System
Female Reproductive System (Part A-1) Module 10 -Chapter 12 Overview Female reproductive organs Ovaries Fallopian tubes Uterus and vagina Mammary glands Menstrual cycle Pregnancy Labor and childbirth Menopause
More informationCancer arising from Endometriosis and Its Clinical implications
Cancer arising from Endometriosis and Its Clinical implications 1) Nezhat F, Cohen C, Rahaman J, Gretz H, Cole P, Kalir T. Comparative immunohistochemical studies of bcl-2 and p53 proteins in benign
More informationEVALUATING THE INFERTILE PATIENT-COUPLES. Stephen Thorn, MD
EVALUATING THE INFERTILE PATIENT-COUPLES Stephen Thorn, MD Overview The field of reproductive medicine continues to evolve rapidly by offering newer diagnostic testing and therapeutic options to improve
More informationContraception. IUC s, Sterilization
Contraception IUC s, Sterilization Intrauterine Contraceptives (IUC s) IUC s are made of flexible plas4c, available only through prescrip4on Three types ParaGard (copper) Mirena (hormone) Skyla (hormone)
More informationLaparoscopic Morcellation of Didelphic Uterus With Cervical and Renal Aplasia
CASE REPORT Laparoscopic Morcellation of Didelphic Uterus With Cervical and Renal Aplasia Albert Altchek, MD, Michael Brodman, MD, Peter Schlosshauer, MD, Liane Deligdisch, MD ABSTRACT This is a case report
More informationLaparoendoscopic Single-Site Surgery in Gynecologic Oncology
10.5005/jp-journals-10007-1163 REVIEW ARTICLE Laparoendoscopic Single-Site Surgery in Gynecologic Oncology WJOLS Mohammed Khairy Ali, Ahmed Yehia Abdelbadee, Ahmed Mohammed Abbas, Sherif Abdel-Karim Mohammed
More informationLAPAROSCOPY and OVARIAN CANCER
LAPAROSCOPY and OVARIAN CANCER J. DAUPLAT Clermont-Ferrand France UNIVERSITÉ D'AUVERGNE CLERMONT 1 1 - PROPHYLACTIC OOPHORECTOMY 2 - DIAGNOSIS 3 - EARLY STAGES : STAGING 4 - ADVANCED STAGES - ASSESSMENT
More informationTweetable abstract Opportunistic salpingectomy did not have any
DOI: 10.1111/1471-0528.14182 www.bjog.org Gynaesurgery Impact of opportunistic salpingectomy on anti-müllerian hormone in patients undergoing laparoscopic hysterectomy: a multicentre randomised controlled
More information